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Acta Reumatológica Portuguesa

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https://www.readbyqxmd.com/read/30095802/seronegative-cat-scratch-disease-in-a-patient-with-systemic-lupus-erythematosus
#1
Francisca Aguiar, Teresa Martins-Rocha, Mariana Rodrigues, Iva Brito
No abstract text is available yet for this article.
August 10, 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30095803/ozone-therapy-for-low-back-pain-a-systematic-review
#2
Tânia Costa, Daniela Linhares, Manuel Ribeiro da Silva, Nuno Neves
BACKGROUND: Low back pain associated with lumbar disc herniation is common in the general population, with evident repercussion in quality of life and a significant economic burden. Patients refractory to conservative treatment seek additional treatment and minimally invasive interventions were proposed as valid options. Ozone therapy has been suggested as an alternative due to its potential analgesic and anti-inflammatory effect. OBJECTIVE: This systematic review aims to investigate the effectiveness and safety of ozone therapy for low back pain in patients with lumbar disc herniation...
July 18, 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30095801/immunoglobulin-g4-related-disease-with-recurrent-uveitis-and-kidney-tumor-mimicking-childhood-polyarteritis-nodosa-a-rare-case-report
#3
Mariana Machado Forti Nastri, Glaucia Vanessa Novak, Adriana Elias Maluf Sallum, Lucia Maria Arruda Campos, Roberto Augusto Plaza Teixeira, Clovis Artur Silva
INTRODUCTION: Immunoglobulin G4-related disease (IgG4-RD) is an condition rarely reported in children. Additionally, IgG4-RD may rarely mimic vasculitis in adults and may infrequently present with uveitis. In our service, 6,198 patients were followed-up and only one (0.0001%) of them had IgG4-RD. To our knowledge, the present IgG4-RD case was the first mimicking childhood polyarteritis nodosa (c-PAN) with recurrent uveitis and kidney tumor. CASE REPORT: We describe herein a 7-year-old boy that presented intermittent fever...
July 18, 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414376/seronegative-cat-scratch-disease-in-a-patient-with-systemic-lupus-erythematosus
#4
Francisca Aguiar, Teresa Martins-Rocha, Mariana Rodrigues, Iva Brito
No abstract text is available yet for this article.
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414375/-presence-of-anti-porphyromonas-gingivalis-peptidylarginine-deiminase-antibodies-in-serum-from-juvenile-systemic-lupus-erythematosus-patients
#5
Carlos Marcelo Figueredo, Manuela R Sete, Juliana C Carlos, Ronaldo Lira, Elisabeth Boström, Flavio Sztajnbok
The presence of a biofilm-associated gingival inflammation in patients having juvenile systemic lupus erythematosus (jSLE) might function as a reservoir of anaerobic Gram-negative bacteria such as Porphyromonas gingivalis. Porphyromonas gingivalis also express functional endogenous peptidylarginine deiminase (PAD) enzymes, which catalyzes a citrullination reaction that can lead to formation of citrullinated peptides. We analyzed 30 patients with jSLE (16.2±1.5 years-old) and 29 healthy controls (15.4±2.3 years old jSLE was diagnosed according to the criteria of the American College of Rheumatology...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414374/iloprost-infusion-through-elastomeric-pump-for-the-outpatient-treatment-of-severe-raynaud-s-phenomenon-and-digital-ulcers-a-single-centre-experience
#6
Ana Catarina Duarte, Lurdes Barbosa, Maria José Santos, Ana Cordeiro
Raynaud's phenomenon (RP) and digital ulcers (DU) are the main clinical features of vasculopathy that occurs in several systemic rheumatic diseases. Intravenous iloprost is recommended for the treatment of severe RP and DU in patients with systemic sclerosis and portable devices for iloprost infusion have been recently designed, allowing outpatient treatment. This new alternative for drug administration not only avoids absenteeism, with the patient having the opportunity to continue his own family and work life, but also reduces the costs associated with hospitalization...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414373/neonatal-lupus-erythematosus-in-a-newborn-with-citrullinemia
#7
Rita Pimenta, Filipa Urbano, Luís Soares-de-Almeida, Sónia Fernandes
A 24-day-old female newborn presented with multiple annular erythematous plaques with a targetoid shape, on the forehead, neck and upper trunk, that had begun ten days earlier. She had been diagnosed with citrullinemia type 1 in the first week of life and arginine supplementation was initiated. Her personal and family history was otherwise unremarkable. Laboratory tests showed high levels of anti-La/SSB and anti-Ro/SSA in both mother and baby. The patient was diagnosed with Neonatal lupus erythematosus on the basis of the clinical, histopathological and laboratorial findings...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414372/pulmonary-involvement-in-neonatal-lupus-a-challenging-diagnosis-case-report-and-literature-review
#8
Sandra Pereira, Filipa Flor-de-Lima, Henrique Soares, Ana Vilan, Catarina Ferraz, Mariana Rodrigues, Cláudia Moura, Gustavo Rocha, Hercília Guimarães, Iva Brito
INTRODUCTION: Pulmonary involvement is relatively frequent in adult and juvenile patients with Systemic Lupus Erythematosus (SLE), but its occurrence in newborns with Neonatal Lupus Erythematosus (NLE) is exceedingly rare. CASE REPORT: A mother with SLE and positive anti-SSA/Ro and anti-SSB/La delivered a preterm newborn with third-degree heart block and positive anti-SSA/Ro confirmed postnatally. A temporary pacemaker was placed at D3 and a definitive pacemaker only at D15 due to sepsis with concurrent mild respiratory failure...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414371/immunoglobulin-g4-related-disease-with-recurrent-uveitis-and-kidney-tumor-mimicking-childhood-polyarteritis-nodosa-a-rare-case-report
#9
Mariana Machado Forti Nastri, Glaucia Vanessa Novak, Adriana Elias Maluf Sallum, Lucia Maria Arruda Campos, Roberto Augusto Plaza Teixeira, Clovis Artur Silva
INTRODUCTION: Immunoglobulin G4-related disease (IgG4-RD) is an condition rarely reported in children. Additionally, IgG4-RD may rarely mimic vasculitis in adults and may infrequently present with uveitis. In our service, 6,198 patients were followed-up and only one (0.0001%) of them had IgG4-RD. To our knowledge, the present IgG4-RD case was the first mimicking childhood polyarteritis nodosa (c-PAN) with recurrent uveitis and kidney tumor. CASE REPORT: We describe herein a 7-year-old boy that presented intermittent fever...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414370/whole-peripheral-blood-mir-146a-and-mir-155-expression-levels-in-systemic-lupus-erythematosus-patients
#10
Russka Shumnalieva, Darina Kachakova, Viara Shoumnalieva-Ivanova, Polina Miteva, Radka Kaneva, Simeon Monov
<p>Objective: To evaluate the diagnostic value of peripheral blood microribonucleic acid (miRNA, miR)-146a and miR-155 expression in systemic lupus erythematosus (SLE). Methods: Expression levels of miR-155 and miR-146a in whole peripheral blood samples from 40 SLE patients and 32 healthy controls (HCs) were determined by quantitative reverse transcription-polymerase chain reaction qRT-PCR (SYBR Green technology) and 2-∆∆Ct method was used for analysis. SPSS v20 was used for receiver operating characteristic (ROC) curve and Spearman correlation analysis...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414369/non-invasive-oxygen-ozone-therapy-in-treating-digital-ulcers-of-patients-with-systemic-sclerosis
#11
Manal Hassanien, Sonya Rashad, Nahed Mohamed, Abdelrahem Elawamy, Mona Sayed Ghaly
BACKGROUND: Digital ulcers (DUs) in Systemic sclerosis (SSc) result from recurrent Raynaud's phenomenon (RP) and microtrauma with high impact on quality of life. Medical use of ozone (triatomic oxygen) was initiated in the 19th century. Ozone has multiple therapeutic effects in wound healing due to the property of releasing nascent oxygen, which has been shown to stimulate antioxidant enzymes. We aimed to assess the effects of ozone therapy on the healing of scleroderma DUs and determine levels of expression of vascular endothelial growth factor (VEGF), and endothelin-1 type A receptor (ETAR) autoantibodies in the wounds after treatment...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414368/bone-biopsy-an-ally-in-the-management-of-fragility-fractures-in-chronic-kidney-disease
#12
Francisca Aguiar, Catarina Meng, Luciano Pereira, Iva Brito, João Miguel Frazão
Patients with chronic kidney disease (CKD) have an increased susceptibility to fracture and this risk gradually rises as renal disease progresses. Chronic Kidney Disease-Mineral and Bone Disorder (CKD- MBD) encompasses the mineral, bone, hormonal and calcific cardiovascular abnormalities that develop in these patients. Renal osteodystrophy (ROD) corresponds to the histopathologic description of bone lesions associated with CKD-MBD. Fragility fracture approach in CKD stages 1-3a may be similar to that of the general population...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414367/non-pharmacological-and-non-surgical-interventions-to-manage-patients-with-knee-osteoarthritis-an-umbrella-review
#13
Ricardo Maia Ferreira, José Alberto Duarte, Rui Soles Gonçalves
Objective - Update the last known umbrella review and summarize the available high-quality evidence from systematic reviews on the effectiveness of non-pharmacological and non-surgical interventions for patients with knee OA. Methods - The systematic reviews were identified thought electronic databases such as, MEDLINE, Embase, Physiotherapy Evidence Database (PEDro), The Cochrane Library, SciELo, Science Direct, Google Scholar, Research Gate and B-ON. The studies selection respected the following terms to guide the search strategy using the P (humans with knee osteoarthritis) I (non-pharmacological and non-surgical treatments) C (pharmacological, surgical, placebo, no intervention, or other non-pharmacological/ non-surgical conservative treatments) O (pain, functional status, stiffness, inflammation, quality of life and patient global assessment) model...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414366/ozone-therapy-for-low-back-pain-a-systematic-review
#14
Tânia Costa, Daniela Linhares, Manuel Ribeiro da Silva, Nuno Neves
BACKGROUND: Low back pain associated with lumbar disc herniation is common in the general population, with evident repercussion in quality of life and a significant economic burden. Patients refractory to conservative treatment seek additional treatment and minimally invasive interventions were proposed as valid options. Ozone therapy has been suggested as an alternative due to its potential analgesic and anti-inflammatory effect. OBJECTIVE: This systematic review aims to investigate the effectiveness and safety of ozone therapy for low back pain in patients with lumbar disc herniation...
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30414365/rheumatology-in-portugal-70-years-improving-the-future-for-rheumatic-patients
#15
Helena Canhão, Luís Cunha Miranda
No abstract text is available yet for this article.
July 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/29704391/withdrawn-monocyte-chemoattractant-protein-1-promoter-2518-g-allele-increases-renal-damage-in-systemic-lupus-erythematosus-patients-result-from-a-meta-analysis
#16
Xiong-Yan Luo, Qin Wei, Long Chen, Ming-Hui Yang, Kuen Li, Yi Liu, Guo-Hua Yuan
Ahead of Print article withdrawn by publisher. Not clarified suspected conflict of interest.
April 27, 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30091962/safety-of-etanercept-in-the-treatment-of-rheumatic-disease-patients-with-hepatitis-c-virus-infection
#17
Lídia Teixeira, Cristina Fonseca, Sandra Sousa, Filipe Vinagre, Ana Cordeiro, Pedro Gonçalves, Maria José Santos, José Canas da Silva
Hepatitis C virus (HCV) infection is a major public health problem. Because Tumour Necrosis Factor (TNF) seems to have an important role in immune response to HCV infection, suppression by TNFi (TNF inhibitors) may pose a potential worsening of chronic HCV infection. We report our experience with 3 cases of patients with chronic HCV infection and advanced liver disease, with different Rheumatic diseases, treated with a TNFi, etanercept (ETN), for a period ranging from 4 months to 4 years without hepatitis C treatment and, in two of them, concomitant therapy with direct-acting antiviral agents (DAA) and afterwards...
April 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30091961/my-phenotype-speaks-please-do-not-harm-me-with-biopsy-needle
#18
Isha Saini, Narendra Bagri, Neerja Gupta
Fibrodysplasia ossificans progressiva is characterized by congenital skeletal anomalies and progressive heterotopic ossification. We present a 4 year old male patient who underwent unnecessary harmful multiple biopsies before the diagnosis of fibrodysplasia ossificans progressiva is made. Though rare, diagnosis of fibrodysplasia ossificans progressiva should be considered whenever characteristic radiographic features of multifocal heterotopic bone formation is seen along with the valgus deformities of the big toes...
April 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30091960/intravenous-human-immunoglobulin-for-the-treatment-of-severe-longitudinal-extensive-transverse-myelitis-associated-with-systemic-lupus-erythematous
#19
Ana Catarina Duarte, Sandra Sousa, Teresa Nunes, Ana Cordeiro, Pedro Gonçalves
A 39-year-old female with systemic lupus erythematous (SLE) presented with fever, headaches and rash and was treated with empiric antibiotics for a presumable meningitis. However, cerebrospinal fluid turned out to be sterile and fever persisted with onset of hyporeflexive paraparesis with sensory loss below D10. Magnetic resonance imaging (MRI) demonstrated intradural-extramedullary hematoma (related to traumatic lumbar puncture), which was successfully drained. Subsequent surgical scar infection occurred and was treated accordingly...
April 2018: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/30091959/intra-articular-epithelioid-sarcoma-of-the-knee-a-diagnostic-challenge
#20
Teresa Martins Rocha, Rui Costa, João Barroso, Alexandra Bernardo, Márcio Rodrigues, Catarina Meireles, Filipe Duarte, Alberto Vieira, Mariana Afonso
Epithelioid sarcoma is a rare mesenchymal neoplasm characterized by aggregates of epithelioid cells. Intra-articular occurrence is exceedingly rare with only few reports described in the literature. A 22 year-old man presented a progressive mechanical knee pain. Initially, the investigation revealed a non-infectious unspecific synovitis. The patient gradually presented increasing knee enlargement and functional impairment. Intra-articular nodular proliferation with bone invasion was later observed on magnetic resonance imaging reevaluation...
April 2018: Acta Reumatológica Portuguesa
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